e46eb54e0c8048462a081e5d1b111b4b 303866.pdf 0958bb2f59379e7e4434c8a67a8785ca193cbfe3 303866.pdf c993d2dfa2f61e02927b0b39ff9c9fa9cfe83af506f6c6f654aba40fb6c51f1c 303866.pdf Title: Effectiveness of the Online “Dialogue Circles” Nursing Intervention to Increase Positive Mental Health and Reduce the Burden of Caregivers of Patients with Complex Chronic Conditions. Randomized Clinical Trial Subject: The personal demands involved in caring for a chronically ill person can lead to emotional and physical exhaustion in caregivers. The aim of this study was to evaluate the effectiveness of an online nursing intervention called “dialogue circles” designed to reduce caregiver overload and enhance positive mental health (PMH) in family caregivers. We used a pre-post design. The sample consisted of 86 family caregivers of patients with complex chronic conditions, randomly assigned to the intervention group (n = 43) or the control group (n = 43). All participants completed the Zarit scale and the Positive Mental Health Questionnaire 15 days before starting the intervention and 30 days after its completion. Comparison of the post-test changes revealed statistically significant differences between the two groups in PMH and overload, with the intervention group showing greater positive changes in all dimensions of PMH after the intervention and lower scores on overload. In conclusion, the results suggest that incorporating dialogue circles as an online nursing intervention in the caregivers of patients with complex chronic conditions can enhance PMH and decrease caregiver overload, especially in settings where face-to-face encounters are not possible. Keywords: chronic disease; nursing intervention; clinical trial; dialogue circle; positive mental health; caregiver overload Author: Jose Manuel Tinoco-Camarena, Montserrat Puig-Llobet, María Teresa Lluch-Canut, Juan Roldan-Merino, Mari Carmen Moreno-Arroyo, Antonio Moreno-Poyato, Judith Balaguer-Sancho, Zaida Agüera, Maria Aurelia Sánchez-Ortega and Miguel Ángel Hidalgo-Blanco Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Fri Dec 30 07:00:22 2022 CET ModDate: Fri Dec 30 07:02:29 2022 CET Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 13 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 702276 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- YXDTOY+VnURWPalladioL-Bold Type 1 Custom yes yes no 10 0 TQOLIY+VnURWPalladioL Type 1 Custom yes yes no 15 0 ZEOLAO+URWPalladioL-Bold Type 1 Custom yes yes no 19 0 DJXLBP+URWPalladioL-Roma Type 1 Custom yes yes no 24 0 RFYMGV+URWPalladioL-Ital Type 1 Custom yes yes no 28 0 LWQXII+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 46 0 IRWHZX+TimesNewRomanPSMT Type 1C WinAnsi yes yes no 49 0 BCDEEE+PalatinoLinotype-Bold TrueType WinAnsi yes yes no 82 0 BCDFEE+PalatinoLinotype-Roman TrueType WinAnsi yes yes no 86 0 BCDGEE+PalatinoLinotype-Italic TrueType WinAnsi yes yes no 90 0 BCDIEE+PalatinoLinotype-Roman CID TrueType Identity-H yes yes yes 94 0 WBVKDJ+URWPalladioL-BoldItal Type 1 Custom yes yes no 108 0 FXXUVH+CMSY10 Type 1 Builtin yes yes no 118 0 LWALTY+VnURWPalladioL-Italic Type 1 Custom yes yes no 131 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2024-12-10 02:45:08 CET RepresentationInformation: 303866.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2024-12-09 09:55:40 CET Size: 702276 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 342 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Materials and Methods Destination: section.2 Children: Item: Title: Study Design Destination: subsection.2.1 Item: Title: Setting and Participant Selection Destination: subsection.2.2 Item: Title: Randomization and Masking Destination: subsection.2.3 Item: Title: Instruments Destination: subsection.2.4 Item: Title: Intervention Destination: subsection.2.5 Item: Title: Statistical Analysis Destination: subsection.2.6 Item: Title: Results Destination: section.3 Children: Item: Title: Sociodemographic Data Destination: subsection.3.1 Item: Title: Levels of Overload and Positive Mental Health at Baseline Destination: subsection.3.2 Item: Title: Post-Intervention Levels of Overload and Positive Mental Health Destination: subsection.3.3 Item: Title: Post-Intervention Changes Destination: subsection.3.4 Item: Title: Discussion Destination: section.4 Item: Title: Conclusions Destination: section.5 Item: Title: References Destination: section.5 Info: Title: Effectiveness of the Online “Dialogue Circles” Nursing Intervention to Increase Positive Mental Health and Reduce the Burden of Caregivers of Patients with Complex Chronic Conditions. Randomized Clinical Trial Author: Jose Manuel Tinoco-Camarena, Montserrat Puig-Llobet, María Teresa Lluch-Canut, Juan Roldan-Merino, Mari Carmen Moreno-Arroyo, Antonio Moreno-Poyato, Judith Balaguer-Sancho, Zaida Agüera, Maria Aurelia Sánchez-Ortega and Miguel Ángel Hidalgo-Blanco Subject: The personal demands involved in caring for a chronically ill person can lead to emotional and physical exhaustion in caregivers. The aim of this study was to evaluate the effectiveness of an online nursing intervention called “dialogue circles” designed to reduce caregiver overload and enhance positive mental health (PMH) in family caregivers. We used a pre-post design. The sample consisted of 86 family caregivers of patients with complex chronic conditions, randomly assigned to the intervention group (n = 43) or the control group (n = 43). All participants completed the Zarit scale and the Positive Mental Health Questionnaire 15 days before starting the intervention and 30 days after its completion. Comparison of the post-test changes revealed statistically significant differences between the two groups in PMH and overload, with the intervention group showing greater positive changes in all dimensions of PMH after the intervention and lower scores on overload. In conclusion, the results suggest that incorporating dialogue circles as an online nursing intervention in the caregivers of patients with complex chronic conditions can enhance PMH and decrease caregiver overload, especially in settings where face-to-face encounters are not possible. 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